ACTIVE MEMBER:Persons eligible to become active members are individuals who
have an interest in fire and life safety education and are willing to fulfill the objectives and purposes of the association.

SUSTAINING
MEMBER:Those eligible to become sustaining members
are individuals, firms, corporations, institutions, societies, associations, board, bureaus, or commissions wishing to assist
in attaining the objectives of the association.

ORGANIZATIONAL MEMBERS:Emergency service organizations are eligible to become organizational
members. Each organizational membership is entitled to have 5 active members listed on the association mailing list.
Mail will be sent to all 5 members.

For organizational memberships, please fill out an application for each member to be listed under the organizational
membership. Please enclose a check for the appropriate amount and send to the address below.

Signature_______________________________Date___________________

please print, fill out and mail this page with the appropriate check amount, made payable to NYSAFE to